Revision rhinoplasty, or revision nose job, refers to the surgical changes to a nose that has already undergone surgery in the past. Revision rhinoplasty is much more complex, difficult and less predictable than a primary rhinoplasty (having a nose reshaping for the first time). Thankfully, our surgeons are fellowship-trained in facial plastic and reconstructive surgery and have extensive experience with revision rhinoplasty.
There are many reasons that a patient would request to have revision rhinoplasty. For some patients, their initial concerns may still not be addressed, and for others they may have persistent difficulty breathing. This can be due to a host of reasons, such as too little or too much tissue, and cartilage being removed at the initial surgery. Our surgeons have years of experience harvesting cartilage from the nose and other parts of the body (ears and rib) that can be used for revision surgery to improve the external appearance and function of the nose.
Who is a candidate for revision rhinoplasty?
Healthy men and women who have already had a primary rhinoplasty and are unhappy with the post-operative appearance, or who are experiencing difficulty breathing through the nose, may be excellent candidates for revision rhinoplasty. During a consultation, our experienced facial plastic and reconstructive surgeons will perform a facial analysis and help you determine the best course of action to deliver the most appealing results.
What is the procedure like?
As each nose is unique in both appearance and function, the procedure and techniques used are tailored to each patient’s individual aesthetic and functional needs. Revision rhinoplasty is usually performed under deep sedation or general anesthesia because of the increased level of complexity and time required.
Where are the incisions made for revision rhinoplasty?
Revision rhinoplasty generally requires an open technique, using a small incision under the tip of the nose. This allows enough access to the cartilage and bone responsible for the shape and function of the nose. These structures are carefully adjusted to achieve the desired appearance and function.
If too much cartilage has been previously removed or damaged, it may be necessary to use cartilage from the ear or elsewhere, such as the rib, in order to reconstruct the nose. Sutures are used to close the incisions and a small external splint is placed. Internal splinting is occasionally required during revision rhinoplasty.
Where is the revision rhinoplasty surgery performed?
Revision rhinoplasty is performed on an outpatient basis. Most patients return home a few hours after surgery. Length of recovery time depends on the complexity of the procedure and varies from patient to patient.
Prescription pain medication usually is only required for the first few days. Mild discomfort, bruising and swelling lasts seven to 10 days. Most patients are able to return to work, school or other daily activities within about one week. Avoidance of contact sports is recommended for about one month after surgery.
Our experienced surgeons reduce bruising and recovery time with the application of state-of-the-art techniques and the use of homeopathic or herbal options. Detailed postoperative and aftercare instructions will be provided to each patient.
Those patients considering revision rhinoplasty, or nose reshaping, should carefully evaluate their surgeon’s credentials and training. Ours is one of the few California educational institutions with fellowship-trained facial plastic and reconstructive rhinoplasty surgeons. Our doctors are all board-certified surgeons, with extensive knowledge to deliver the best cosmetic results while safeguarding proper breathing function.